Healthcare Provider Details

I. General information

NPI: 1275977597
Provider Name (Legal Business Name): LYNNE A ADAMS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 04/02/2022
Certification Date: 04/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 TOLL GATE RD STE 206
WARWICK RI
02886-4351
US

IV. Provider business mailing address

74 THUNDER TRL
CRANSTON RI
02921-2564
US

V. Phone/Fax

Practice location:
  • Phone: 401-365-4209
  • Fax: 401-490-3569
Mailing address:
  • Phone: 401-474-0840
  • Fax: 401-490-3569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC00559
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: